Minosegbiztositas diabetes mellitusban: Standardizalas mint lehetoseg a Diabcare Hungary eredmenyeinek osszehasonlitasara

Translated title of the contribution: Standardizing the results of Diabcare Hungary: A method for comparison and quality improvement introduction

Research output: Contribution to journalArticle

Abstract

INTRODUCTION - DiabCare, the monitoring system of the WHO/IDF-Euro was developed for continuous quality improvement of diabetes care based on a structured and standardized diabetes dataset. PATIENTS AND METHODS - Data from 5 DiabCare Hungary centers with different patient populations were adjusted for demographic parameters and compared to the 2403 records of the national dataset collected between 1995-97. RESULTS - More than half of the investigated patients were >56 years old (centers analyzed in detail: 20- 83%), one third of them had an age 36-55 years (17-52%), 45% were male (27- 63%). The prevalence of type 1 DM was 29% (0-80%). Almost one third of the patients had a diabetes duration >15 years (14-58%). Eyes were examined in 79% (28-98%), retinopathy was found in 29% (28-81%, minimal change after standardization). Risk factor identification was above 80% in all centers (except in center 3: 16-94%). Rate of patients with risk factors: HbA1c >8%: 43%; triglycerides >2mmol/l: 33% (in center 5 lower, 17%; after standardization 37%); blood pressure (>160/95 Hgmm), smoking and alcohol consumption together 15%. Albuminuria was examined in 55% (25-89%), with microalbuminuria present in 24% (0-38%). The frequency of self-monitoring and of severe hypoglycemia (49 and 5%) paralleled the relative weight of type1 DM patients during standardization. CONCLUSION - It is concluded that centralized evaluation and anonymous comparison of crude and adjusted data might be helpful in assessing and improving the quality of diabetes care.

Translated title of the contributionStandardizing the results of Diabcare Hungary: A method for comparison and quality improvement introduction
Original languageHungarian
Pages (from-to)130-139
Number of pages10
JournalLege Artis Medicinae
Volume10
Issue number2
Publication statusPublished - Mar 15 2000

ASJC Scopus subject areas

  • Medicine(all)

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